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Pulmonology

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Hospitals should have a formal plan to respond to the increasing need for extracorporeal membrane oxygenation in the setting of a pandemic such as COVID-19

Guidelines Recommended for ECMO Use in Setting of Pandemic

Tiered approach to ECMO response recommended, with focus on increasing capacity during mild surge
Smoking status is an important patient-related prognostic factor for outcome in patients with acute myeloid leukemia treated with intensive chemotherapy

Smoking Tied to Inferior Survival in Acute Myeloid Leukemia

Smoking associated with inferior survival among patients receiving intensive chemotherapy for AML
An estimated 45.4 percent of U.S. adults may have an increased risk for COVID-19 complications due to chronic conditions

45.4 Percent of U.S. Adults at Risk for Complications With COVID-19

These adults may be at increased risk due to existing chronic conditions including CVD, diabetes, HTN
COVID-19 is associated with a high rate of pulmonary embolism

High Rate of Pulmonary Embolism Found for Patients With COVID-19

Two studies demonstrate high rate of PE; 100 percent sensitivity for PE seen for D-dimer level > 2,660 µg/L
High-dosage chloroquine diphosphate has potential safety hazards when used as adjunctive therapy for patients hospitalized with severe COVID-19

Adding High-Dose Chloroquine Not Advised for Severe COVID-19

High-dose versus low-dose group had higher lethality until day 13, more instances of QTc interval >500 ms
Climate change continues to make air pollution worse

Nearly Half of U.S. Population Breathes Unhealthy Air

More cities saw increase in days with spikes in particle pollution for 2016-2018 versus 2015-2017
While health experts continued to call for a national strategy to test more Americans for coronavirus

National Coronavirus Testing Strategy Announced as U.S. Cases Top 1 Million

And, potential vaccine against COVID-19 shows promise, could begin human testing within a few weeks
Health care organizations are facing hard financial decisions amid the COVID-19 pandemic

David Shulkin, M.D., on COVID-19 Financial Consequences for Health Care System

Shulkin, ninth secretary for Veterans Affairs, estimates health care provider revenue down about $500 billion
Use of monitoring with continuous pulse oximetry for infants with bronchiolitis who do not require supplemental oxygen varies widely by hospital

Pulse Oximetry May Be Overused in Infants With Bronchiolitis

Routine use of continuous pulse oximetry not advised for infants who do not require supplemental oxygen
A single symptomatic COVID-19 infection results in direct medical costs of $3

Direct Medical Costs of COVID-19 Infection Are Considerable

Costs could vary from $163.4 to $654.0 billion for 20 to 80 percent of U.S. population infected, respectively